Are you experiencing heartburn? Acid reflux? Trouble swallowing? Abdominal pain? Diarrhea? Our MedStar Georgetown physicians are here to help.
When you experience gastrointestinal and digestive disorders, rely on the expertise of the Department of Gastroenterology at MedStar Georgetown University Hospital. Located in the heart of Georgetown, in Washington, DC, and recognized as a Center of Excellence, we provide a full range of diagnostic and treatment options for all stages of digestive tract disease through our esteemed specialty centers and programs to help improve your quality of life.
Conditions we treat
We want our patients to know these conditions are highly treatable, but can have long-term consequences if left untreated.
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GERD
GERD is a severe, chronic acid reflux condition in which the muscle connecting your stomach to your esophagus (tube connecting your throat to your stomach) is weak or relaxes abnormally, allowing acidic stomach contents to back up into your esophagus. While rarely life threatening, GERD can lead to internal bleeding, ulcers, strictures, or esophageal cancer, if not detected early.
A likely cause of GERD is hiatal hernia (your stomach pushing up through your diaphragm muscle). Other risk factors for GERD include obesity, pregnancy, smoking, asthma, dry mouth, diabetes, and connective tissue disorder
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Barrett's Esophagus
Barrett’s esophagus is a disorder in which the lining of your esophagus is damaged by stomach acid. The acid leaks from your stomach upward and back into your esophagus, causing a sensation like heartburn that never goes away. -
Esophageal Motility Disorders
Esophageal Motility Disorders is the process of moving food through the esophagus and esophageal motility disorders occur when your esophagus doesn’t move together properly. One of the most common and treatable types of esophageal motility disorder is achalasia. -
Inflammatory Bowel Disease
We understand that IBD can affect people at any stage of life, disrupting their personal, professional, and social experiences. At the MedStar Georgetown Inflammatory Bowel Disease (IBD) Center, we work together with our IBD patients to provide them with the best medical and surgical care. IBD Center treats all types of IBD conditions, including:
- Crohn’s Disease
- Ulcerative Colitis
- Indeterminate Colitis
- Pouchitis Microscopic
- Enterocolitis; Lymphocytic and Collagenous Enterocolitis
- Celiac Disease
- Eosinophilic Gastroenteritis
- Diarrhea
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Irritable Bowel Syndrome
Irritable bowel syndrome (IBS), also known as spastic colon, intestinal neurosis, and nervous indigestion, refers to a disorder of the lower intestinal tract that leads to abdominal pain and abnormal bowel movements.
The cause of IBS is not known, but it can occur after an intestinal infection (post-infectious IBS). IBS symptoms may be worse in patients who also have stress or mood disorders, such as anxiety, and depression; however, these conditions do not cause IBS.
What are the signs of these gastrointestinal conditions?
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GERD
The most common symptoms of GERD are as follows:
- Heartburn, sometimes spreading to your throat and causing a sore throat, hoarseness, chronic cough, asthma, or the feeling of a lump in your throat
- Regurgitation, a feeling of acid backed up in your esophagus
- A feeling that food may be trapped behind your breastbone
- Nausea after eating
- Difficulty swallowing
- Chest pain
If you experience severe or frequent GERD symptoms, schedule an appointment with your doctor, as you may need diagnostic testing. -
Barrett's Esophagus
The tissue changes that cause Barrett’s esophagus do not produce symptoms, and many patients with Barrett’s esophagus have no symptoms. If you do experience symptoms, they will likely be due to GERD, and they most commonly include the following:
- Frequent heartburn
- Difficulty swallowing
- Chest pain
If your heartburn and/or acid reflux has persisted for more than five years, ask your doctor if you are at risk for Barrett’s esophagus. -
Esophageal Motility Disorders
The symptoms of esophageal motility disorders are caused by food moving too quickly or slowly, backwards or not moving through your digestive tract at all. Symptoms depend on your affected muscles and can include the following:
- Acid reflux
- Difficulty swallowing
- Heartburn
- Nausea
- Swallowing Disorders
- Vomiting / Regurgitation
If you have severe or frequent symptoms, schedule an appointment with your physician, as you may require diagnostic testing. -
Inflammatory Bowel Disease
IBD Symptoms:
Symptoms range from mild to severe with most people experiencing the milder ones.- Abdominal distention
- Abdominal fullness, gas, bloating
- Abdominal pain that
- comes and goes
- is reduced or goes away after a bowel movement
- occurs after meals
- can wake you up
- Chronic and frequent constipation, usually accompanied by pain
- Family history of Crohn's and Colitis
- Chronic and frequent diarrhea, usually accompanied by pain
- Emotional distress
- Depression
- Loss of appetite
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Irritable Bowel Syndrome
Irritable Bowel Syndrome (IBS) Symptoms:
- Abdominal distention
- Abdominal fullness, gas, bloating
- Abdominal pain that
- comes and goes
- is reduced or goes away after a bowel movement
- occurs after meals
- Chronic and frequent constipation, usually accompanied by pain
- Chronic and frequent diarrhea, usually accompanied by pain
- Emotional distress
- Depression
- Loss of appetite
How are gastrointestinal conditions diagnosed?
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Endoscopic ultrasound
An Endoscopic Ultrasound (EUS) allows your doctor to get high-quality ultrasound images of the inside of your body. An EUS can be used to:
- Detect tumors in the gastrointestinal (GI) tract
- Biopsy tumors in the GI tract. This is when the doctor removes a tissue sample from a suspicious mass and sends it to a pathology lab for analysis and diagnosis
- Stage tumors in the GI tract, which is when the doctor determines the extent of the spread of the cancerous tumor (Stage I, II, III, or IV)
- Assess esophageal, gastric, pancreatic, and rectal cancers
- Detect common bile duct stones
- Aspirate fluid cysts in the GI tract
- Interventional endoscopic ultrasound for treatment of cysts and other GI pathologies
- Marker placement for radiation therapy
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Endoscopy
This is a way of looking inside the body using a flexible tube that has a small camera on the end of it. This instrument is called an endoscope. An endoscope is passed through a natural body opening or a small incision. For gastrointestinal diagnosis, an endoscope may be inserted through the mouth or anus, depending on the area of interest. -
Esophageal manometry
A test used to identify issues with movement and pressure in your esophagus, manometry measures your esophagus’ strength and muscle coordination as you swallow. During the 20 to 30-minute test, your physician inserts a thin, pressure-sensitive tube through your nose and down into your stomach. Your physician then pulls the tube back into your esophagus and you are asked to swallow while the pressure of your muscles’ contractions is measured. All manometry studies are analyzed by our gastroenterologists. -
pH and impedance testing
Used to determine if you have reflux disease or if your anti-reflux medication is working properly, this test measures the acid exposure in your esophagus, as well as liquid movement from your stomach to your esophagus. During the exam, your physician inserts a thin tube through your nose and down into your esophagus. The tube stays in place for 24 hours as you go about your normal daily activities. You will have a monitor to record your symptoms, as well as a journal to record food consumption and times when you are lying horizontally. Following 24 hours, the tube is removed and our specialists analyze the results. -
Wireless Bravo pH system
Used to measure the amount of acid in your esophagus, this study allows your physician to evaluate your heartburn and acid reflux symptoms. During the test, your physician temporarily attaches a small capsule (the size of a gel cap) to the wall of your esophagus. The capsule transmits a signal to a small computer that you wear. After about two days, the capsule falls off and passes in your stool, and you return the small computer to our center. Our gastroenterologists then analyze your results.
How are gastrointestinal conditions treated?
Our expert team is equipped to treat the full range of disorders with advanced technology and techniques.
Treatment options include medication, cryoablation, radiofrequency ablation, endoscopic ultrasound for staging of cancer, diverticulectomy/myotomy, Heller myotomy, endoscopic mucosal resection, endoscopic submucosal dissection, electrocautery, dilation (including pneumatic dilation and self-dilation), stenting, Fundoplication, and placement of a LINX® Reflux Management System for GERD.
Gastroenterology: Ask Dr. Nadim Haddad
Dr. Haddad serves as physician executive director and regional chief of the Department of Gastroenterology services at MedStar Georgetown University Hospital. Dr. Haddad sees adult patients for conditions affecting the gastrointestinal tract, such as pancreatic and bilary diseases, with a focus on cancer. In addition to adults, Dr. Haddad also attends to pediatric patients for upper gastrointestinal endoscopy.
Financial powerhouse Svein Backer, 54, studies the nuances of the financial markets. As the senior member of the investment team at a large corporate pension plan, he makes educated choices to optimize the financial futures of 350,000 people.
After learning that John Freshman’s Barrett’s esophagus had turned threatening during his annual endoscopy, John’s physician recommended the specialists at MedStar Georgetown University Hospital to perform advanced treatment.
Chris Vass of Edgewater, Maryland, suffered from moderate to severe ulcerative pancolitis, an inflammatory bowel disease (IBD) that causes ulcers in the colon. After all known treatments failed, Chris’ only option seemed to be a total colectomy—surgical removal of the colon. But even with this, Chris might still need a temporary colostomy bag and have frequent bowel movements. At the young age of 27, it was a devastating prospect.
Why choose us?
The specialists in our Gastroenterology Department at MedStar Georgetown University Hospital are nationally and internationally recognized as top experts in the diagnosis and treatment of digestive system disorders. While patients with digestive tract conditions often suffer for years before their conditions are accurately diagnosed, our physicians perform nearly 16,000 endoscopic GI procedures a year, giving them the experience needed to accurately diagnose your condition, including complex conditions, and provide the most effective treatment option.
Our specialists have access to the most cutting-edge technology, helping to ensure that they provide an accurate diagnosis the first time.
We are proud of our commitment to advanced clinical research, providing you access to the latest treatment options for GI disorders. Our physicians are at the forefront of developing nationwide standards of care, and some of our studies offer you access to technologies and procedures that are available at only a handful of centers in the county.
At a glance
We annually perform
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16,000
Physican performed endoscopic GI procedures
For clinical questions, please call 202-444-8541.
Meet the Gastroenterology team
Located in Washington, D.C.
MedStar Georgetown University Hospital
3800 Reservoir Rd., NW
Washington DC, 20007
Hours of operation: Monday through Friday, from 8:30 a.m. to 4:30 p.m.
FAQs
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What conditions do gastroenterologists treat?
Gastroenterologists treat a wide range of digestive system disorders, including acid reflux, GERD, IBS, Crohn's disease, ulcerative colitis, esophageal/swallowing disorders, anemia, colon polyps, pancreas disorders, abdominal pain, bloating, constipation, diarrhea and more.
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What symptoms should prompt a visit to a gastroenterologist?
Symptoms can differ based on condition and can range from mild to severe. You should also see a specialist if you are having persistent symptoms, have an uncertain diagnosis or your current treatment is not working.
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What are the latest treatment options available?
We offer many advanced treatment options including endoscopic and minimally invasive procedures as well as medication management and dietary counseling tailored to your needs.
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How do I schedule an appointment?
Call our scheduling line 202-295-0510, or fill out a request an appointment form
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Do you accept my insurance?
We accept a wide range of insurance. Upon scheduling, the scheduler will work with you to ensure we accept your insurance.

